OrganizationActive
Mark J Lodge
NPI 1790569622 · General Practice Dentistry · Grand Blanc, MI
Mark J Lodge is a General Practice Dentistry organization in Grand Blanc, MI (NPI 1790569622).
Provider details
- NPI number
- 1790569622
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Sandra Smith, Office Manager(810) 694-8073
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
134 High St
Grand Blanc, MI 48439-1335
Phone: (810) 694-8073
Fax: (810) 694-1764
Street-level locationGet directions
Mailing address
134 High St
Grand Blanc, MI 48439-1335
Registry dates
- Enumerated
- 2023-08-22
- Last updated
- 2023-08-22
- Certified
- 2023-08-22
Frequently asked questions
- What is Mark J Lodge's NPI number?
- Mark J Lodge's National Provider Identifier (NPI) is 1790569622, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mark J Lodge?
- Mark J Lodge is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Mark J Lodge located?
- Mark J Lodge's practice location on file with NPPES is 134 High St, Grand Blanc, MI 48439-1335.
- What is Mark J Lodge's phone number?
- The practice phone number listed in the NPPES registry for Mark J Lodge is (810) 694-8073.
- Who is the authorized official for Mark J Lodge?
- The authorized official listed on Mark J Lodge's NPPES record is Sandra Smith, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mark J Lodge's NPI active?
- Yes — Mark J Lodge's NPI (1790569622) is active in the NPPES registry as of the last update on 2023-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.